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ASHLEY AYLESWORTH O.D.
NPI 1518319029
Optometrist in Marion, IL

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
2802 OUTER ROAD DRIVE, MARION, IL 62959(618) 997-1081(618) 997-3481 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ashley Aylesworth O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY AYLESWORTH O.D. (NPI 1518319029) is an individual optometrist in Marion, Illinois, licensed in Illinois (046.011044) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1518319029
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameASHLEY AYLESWORTHCredential: O.D.
Location Address2802 OUTER ROAD DRIVEMarion, IL 62959
Mailing Address2802 Outer Road DriveMarion, IL 62959 · (618) 997-1081 · Fax (618) 997-3481
Phone(618) 997-1081
Fax(618) 997-3481
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2016
Last NPPES UpdateJune 21, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1518319029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.011044
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2802 OUTER ROAD DRIVE, Marion, IL 62959
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Aylesworth O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062705296
PECOS Enrollment IDI20160726002454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Aylesworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Envision Optometry LLC
Same address
Optometrist
2802 OUTER DR
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
NPI 1669231536 (618) 997-3481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
143 services143 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
68 services68 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
98%95 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES, INC.
Eyewear Supplier
2802 OUTER ROAD DRIVE
MARION, IL 62959
Williamson County (618) 997-1081
DR. AMY LYNN SIMPSON O.D.
Optometrist
2802 OUTER ROAD DRIVE
MARION, IL 62959
Williamson County (618) 997-1081
TRISHA DEBOSE PHARM. D
Pharmacist
2802 OUTER ROAD DRIVE
MARION, IL 62959
Williamson County (618) 997-2021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Aylesworth's NPI number?

The NPI number for Ashley Aylesworth is 1518319029. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Ashley Aylesworth located?

Ashley Aylesworth practices at 2802 Outer Road Drive, Marion, IL 62959. The listed phone number is (618) 997-1081.

What is Ashley Aylesworth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ashley Aylesworth enrolled in Medicare?

Yes. Ashley Aylesworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Aylesworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Aylesworth reassigns Medicare benefits to Envision Optometry LLC (Marion, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Aylesworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Aylesworth accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Ashley Aylesworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Aylesworth was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.